Assay of PSA complexed at Adventhealth Palm Coast Parkway
1 Adventhealth Way, Palm Coast, FL · AdventHealth · · NPI 1861102345
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$17.47 with Florida Health Care Plan vs $39.28 with Oscar — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Florida Health Care Plan | Medicare Managed Care - HMO | $17.47 | — |
| Health First Health Plans | Medicare Managed Care - HMO | $18.39 | — |
| Freedom Health | Medicare Managed Care - HMO | $18.76 | — |
| BCBS | Medicare Managed Care - HMO | $18.94 | — |
| Humana | CarePlus Medicare Managed Care - HMO | $19.13 | — |
| Optimum Healthcare | Medicare Managed Care - HMO | $19.31 | — |
| Simply Healthcare | Medicare Managed Care - HMO | $19.49 | — |
| Aetna | Medicare Managed Care - HMO/PPO | $19.68 | — |
| Oscar | Individual EPO | $39.28 | — |
Visitor-reported prices
Comments
Assay of PSA complexed at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Palm Coast | Palm Coast | not published | $17.47 – $39.28 |
| Ascension Sacred Heart Pensacola (Sacred Heart Health System, Inc.) | Pensacola | $40.52 | $18.39 – $68.80 |
| Ascension Sacred Heart Gulf (Sacred Heart Health System, Inc.) | Joe | $34.02 | $18.39 – $68.80 |
| HCA FLORIDA BLAKE HOSPITAL | BRADENTON | $148.00 | $16.66 – $76.63 |
| HCA FLORIDA SARASOTA DOCTORS HOSPITAL | VENICE | $163.00 | $16.66 – $76.63 |
| AdventHealth Orlando | Orlando | $287.00 | $18.39 – $48.73 |
| Adventhealth Carrollwood | Tampa | $283.85 | $18.39 – $40.83 |
| Adventhealth Daytona Beach | Daytona Beach | not published | $17.47 – $30.69 |